Join Blue Shield of California as a Clinical Services Coordinator to engage members in care management services, conduct assessments, and facilitate connections to essential resources. This role is vital in supporting high-risk patient populations and ensuring their needs are met with compassion and efficiency.
Key Responsibilities
Conduct telephonic outreach to engage members
Complete assessments to identify member needs
Maintain accurate member records
Conduct follow-up calls to ensure member needs are met
Provide information about care management services
Provide administrative support to medical and disease management programs
Act as a liaison and track patients referred to care management programs
Assist in coordinating care for high-risk patients
Verify health plan benefits and coordinate services
Demonstrate cultural competence
Required Qualifications
High school diploma
3 years of relevant experience
1 year experience in a managed care environment
Fluency in English and Spanish
Preferred Qualifications
Health insurance/managed care experience (Commercial, Medicare, and Medi-Cal)
Knowledge of community resources and advocacy
Ability to identify issues and develop effective solutions